Hetiang hun rei tak chhunga natna hi i nei ve em? Chronic pain chungchang hi han sawi ila!

Kan inhliam emaw, kan damloh emaw hian natna kan nei hi thil pangngai a ni. Kan taksa chhunga alarm-in, "Hetah hian eng emaw a dik lo, ngaihven rawh!" Mahse a chang chuan he natna hi thla thum aia rei, a nih loh leh kum tam tak pawh a daih thei. Chu chu chronic pain kan tih chu a ni. Hei hi dinhmun tibuaitu tak a ni a, a chhan chu nunah hlimna tam tak a laksak thei a ni.

United States-a survey an neihah chuan puitling 20% ​​aia tam, a nih loh leh mi maktaduai 50 chuang chuan he natna khirh tak hi an vei tih a tarlang. Chuvangin he natna hi a hluar zia chu i ngaihtuah thei ang. He natna hian i taksa hriselna chauh ni lovin, i rilru hriselnaah pawh nghawng lian tak a nei thei a ni. Chuvang chuan hriat reng a, a tul chuan tanpuina lak a pawimawh em em a ni. Vawiin hian he natna khirh tak hi tlem han sawi leh ila, kan sawi dawn em ni?

Heng natna khirh tak takte hi engte nge ni?

Chronic pain hi mi zawng zawng tan thil pakhat chauh a ni lo. A chi hrang hrang a awm thei a, taksa peng hrang hrangah a awm thei bawk. Chronic pain hi hliam thenkhat, infection leh natna thenkhat atanga lo chhuak a ni. A chi hrang hrang hman tlanglawn tak tak thenkhat han thlir ila:

• Joint pain emaw arthritis pain: Hei hi entirnan tha tak chu khup natna hi a ni a, mi tam takin an tawng thin.
• Back pain: A bik takin hnungzang hnuai lam natna hi hmun khata rei tak thut thinte zingah a awm fo thin.
• Cancer natna: Natna nasa tak, cancer nena lo awm.
• Fibromyalgia: Hei hi taksa pum puiah natna, rilru hahna leh hah lutuk vang a ni.
• Lu na: Lu na na tak, awm reng, migraine ang chi.
• Kawng a na.
• Neuropathic pain: Nerve chhia emaw, hnathawh that loh emaw avanga natna.

Chronic pain hi eng ang nge a nih?

Hei hi mimal thil tawn a ni. Mi tinin hrehawmna an tawn dan hi a inang lo hle. Mahse a pawimawh ber chu he natna hi thla thum aia rei a ni . He natna hi hetiang hian i sawifiah thei ang:

• A chhung atang chuan a na ang maiin a lang.
• Kangmei ang maiin.
• Shooting ang maiin.
• squeezing ang maiin.
• Taksa chu a nghet hle a, ben harsa (Stiffness).
• Stinging a awm.
• Pounding ang mai, hrehawm tawrhna ang (Throbbing).

Chronic pain hian symptom leh condition dang a keng tel thei bawk. Strict takin sawi ila, natna hi symptom pakhat chauh a ni. Tin, hetiang hian a zui thei bawk:

• Generalized anxiety disorder: Hlauhna leh rilru hahdam lohna.
• Major depressive disorder: Lungngaihna leh lungngaihna nei reng reng.
• Chauhna: Chauhna awm reng, engmah ti thei lo anga inhria.
• Mut theih lohna: Zana mut theih lohna, emaw, muthilh hnu pawha mut that theih lohna.
• Thinrimna emaw, mood swing emaw.

He natna hian nitin hnathawhna a tibuai a nih chuan damdawi lam thurawn lak ngei a tha ber tih hre reng ang che.

Engvangin nge he natna rei tak hi a lo awm?

Chronic pain hi thil buaithlak tak a ni. A châng chuan a chhan chiang tak a awm ṭhin. Entirnan, hun rei tak chhung natna cancer emaw arthritis emaw i neih chuan chu chuan natna a thlen thei a ni. Mahse a chang chuan a chhan zawn a harsa hle. A châng chuan thil engemaw zat inzawmkhawmin he natna hi a thlen thei bawk.

Natna thlentu berte chu engte nge ni tih i lo en ang u:

• Neuropathic pain: Hei hi i nervous system-a thil dik lo emaw, chhiatna emaw a awm chuan a thleng thin. Entirnan, peripheral neuropathy, pinched nerves, leh trigeminal neuralgia te hi a ni. Wire chhein signal dik lo a thawn ang mai a ni.
• Musculoskeletal pain: Hei hi i ruh, ruh, ruh, ruh leh ruh (muscle) leh ruh (tendon) te tichhe thei natna a ni. He natna hi hliam (e.g., ruh hliam) emaw, hun kal zelah "worn out" (e.g., tendonitis) vang emaw a ni thei.
• Visceral pain: He natna hi i chhungril lam atanga lo chhuak a ni a, chu chu i thinlung, lung, bladder, reproductive organs, leh digestive organs atanga lo chhuak a ni. Mi thenkhat chuan visceral hypersensitivity an nei a, hei hian hetiang natna hi an tawk fo thin.
• Inflammatory pain: He natna hi tissue a chhiat leh inflamed hian a awm thin. Natna rei tak emaw, hun rei lote chhung emaw avanga lo awm thei a ni. Entirnan, autoimmune condition rheumatoid arthritis emaw lupus emaw i neih chuan inflammation leh natna chhunzawm zel a thlen thei. Tin, shingles ang chi infection i neih chuan hun rei tak chhung nerve natna postherpetic neuralgia an tih chu a thlen thei bawk.
• Central sensitization hmanga hmalakna: 1.1.Hei hi a buaithlak deuh a ni. A awlsam zawngin kan central nervous system (chu chu thluak leh ruhro)-ah hian inthlak danglamna a awm a, hun kal zelah natna leh hriatna dangte kan hrethiam hle. Thil tenau te pawh hi a lianin a inhriat tan thin. Hei hi natna chi hrang hrang nen pawh a thleng thei. Eng, aw, leh rilru natna thlengin a sensitive thei bawk.
• Psychogenic pain: Mi thenkhat chuan chronic pain an nei a, mahse taksa chhan chiang tak erawh hmuh tur a awm lo. Hei hian i natna chu fake a ni tihna a ni lo. Vawi tam tak chu he natna chi hi kan nervous system inthlak danglamna nen a inzawm a, chubakah rilru leh rilru lam thilte nen pawh a inzawm bawk.

A châng chuan, natna thlentu engemaw zat chu a awm dun thei bawk. Entirnan, mi pakhatin fibromyalgia bakah degenerative disc disease vangin a hnungzang na a nei thei bawk.

Natna rei tak neih theihna tur risk factors te chu engte nge ni?

Chronic pain hi natna leh hliam tam tak avanga lo awm thei a nih avangin, a risk factor tam tak a awm a ni. A tlangpuiin, hengte hi a hlauhawmna berte chu an ni:

• Genetics: Natna rei tak tak thenkhat, entirnan migraine leh rheumatoid arthritis te hi thlahtute atanga lo chhuak a ni thei.
• Tar: Natna rei tak, a bik takin musculoskeletal system "wear and tear" avanga natna hi kan tar chhoh zel chuan a awm tam zawk.
• Hliam hmasa: Hliam na tak i tuar tawh a nih chuan a hnuah natna khirh tak i neih a rinawm zawk.
• Kut hnathawh hna neih: Taksa lama harsatna nei hna i thawh chuan natna khirh tak i neih theihna a sang zawk.
• Stress fo emaw, na tak emaw: Zirna hrang hrangah chuan natna rei tak, stress fo leh post-traumatic stress disorder (PTSD) te hi inzawmna a awm tih hmuhchhuah a ni.
• Meizial zuk: Meizial zutute hian a let thum velin an hnungzang natna an nei tam zawk. Meizial zuk hian natna a tlangpuiin sensitivity a tipung thei bawk.
• Obesity: I thau chhoh zel chuan hriselna lama harsatna thlentu thenkhat, arthritis ang chi te chu a na zual thei a, a chhan chu ruhkawrte hian thau zawk an hriat vang a ni.

Engtin nge natna khirh tak hi kan hriat theih ang?

Doctor-te chuan natna hi thla thum aia rei a nih chuan emaw, a lo kal leh a bo emaw a nih chuan chronic an ti. Natna hi a lan chhuah dan a nih tlangpui avangin i doctor chuan a theih chuan a natna chhan chu zawn chhuah a tum ang. Mahse natna hi thil subjective tak a ni. Chu chu a tawngtu chauhvin a hre thei a, a sawifiah thei tihna a ni. Chuvângin, a châng chuan doctor-te tân a chhan zawn chu a harsa thei hle.

Hun rei tak chhung natna i neih chuan doctor pan ngei ngei tur a ni.Tichuan hetiang hi a zawt ang che:

• Khawiah nge a natna chu?
• Engtiang chiahin nge a chhiat? (0 atanga 10 inkar scale-ah).
• Eng chen nge natna hi a lo awm thin?
• Engtiang chiahin nge i nun leh hnathawh a nghawng?
• Eng thilin nge natna chu a tipung emaw, a ti tlem emaw?
• I nunah hian stress emaw, lungkhamna emaw i nei nasa em?
• Tun hmain natna, operation, a nih loh leh natna khirh tak i nei tawh em?

I doctor chuan taksa enfiahna a ti ang a, i natna chhan hriat theihna turin heng ang test hi a ti thei bawk ang:

• Thisen leh zun test a ni.
• Muscle hnathawh dan enfiah (EMG - electromyography) test.
• Imaging test, X-ray leh MRI te pawh a awm thei.
• Nerve te hian an chhang tha em tih en rawh (Nerve conduction studies).
• Reflexes leh balance testing.
• Spinal fluid test a ni.

Natna rei tak enkawlna tur engte nge ni?

I doctor chuan enkawlna vawi khat emaw, enkawlna chi hrang hrang emaw a rawt thei ang. Hei hian i natna rei tak awm chhan bulpui ber enkawl emaw, natna lan chhuahna anga enkawl emaw a huam thei a ni. Research atanga a lan dan chuan enkawlna hrang hrang hman hian natna chu nasa takin a tihziaawm thei a, enkawlna pakhat chauh a tihkhawtlai ai chuan.

Enkawlna pakhatin a thawh that dan hi mi hrang hrangah a inang lo. Chronic pain hi a chhan inang mahse a danglam thei. Doctor-te chuan minimally invasive emaw, traditional pain management method emaw hmangin an tan tlangpui. Chumi hnuah chauh chuan enkawlna hlauhawm zawkah an kal leh ta a ni. Mahse mi zawng zawng tana thawk thei tur method "dik" pakhat mah a awm lo.

Chronic pain management hian hetiang hi a huam thei a:

• Nunphung inthlak danglamna: taksa rihna tihtlem, stress control, leh taksa tihchakna.
• Taksa lam enkawlna leh hnathawhna lama enkawlna.
• Natna enkawlna rilru lam enkawlna: Chung zingah chuan cognitive behavioral therapy (CBT), group therapy, acceptance and commitment therapy (ACT), leh mindfulness therapy te pawh a tel thei.
• Complementary medicine therapies: Massage therapy, biofeedback, leh meditation ang chi thil te.
• Damdawi lam kalphung leh hmanrua: Surgery, TENS (Transcutaneous Electrical Nerve Stimulation), Steroid injection, leh Botulinum toxin (Botox®) injection ang chi thil te.
• Damdawi: 1.1.`(NSAIDs - Nonsteroidal anti-inflammatory drugs)` (non-steroidal anti-inflammatory drugs), `(Muscle relaxers)`, leh `(Opioids)` (opioid group-a natna tidamtu) te an ni.
• Clinical trial neih a ni.

I natna chhan leh i dinhmun danglam bik a zirin, i tana ṭha ber tur enkawlna zawng turin hun engemaw chen a la ngai thei. Enkawlna hrang hrang engemaw zat i enchhin a ngai mai thei. I doctor emaw medical team emaw nena in hnaih poh leh i pain management plan chu a hlawhtling thei ang, i mamawh a danglam dawn avangin. Tin, enkawlna tin hian a thatna te, a hlauhawmna te leh a side effect te sawi a pawimawh bawk.

Chronic pain hi a bo vek dawn em ni?

Dik tak chuan tunah hian natna khirh tak hi "damdawi" a la awm lo. I tih theih tha ber chu a natna chhan dik tak zawng chhuakin enkawl hi a ni. Entirnan, arthritis enkawlna hian a chang chuan ruh natna a tiziaawm thei a ni.

Mahse natna khirh tak nei tam tak chuan an natna chhan an hre lo va, chuvangin damdawi an hmu thei lo. Anni chu natna nen an nung mai a, damdawi, therapies leh nunphung tihdanglamna hrang hrang hmangin an nung mai a ni.

Natna khirh tak nei tan chuan eng prognosis nge ni?

Chronic pain hi a tlangpuiin a reh vek lo. Mahse i tana tha thei tur method hrang hrang hmangin i enkawl thei a ni. Tuna chronic pain treatment hman mek hian mi pakhat natna level chu 30% velin a tihniam niin an sawi. Chu bakah, heng enkawlnate hian i nunphungah nghawng lian tak a nei a, natna khirh tak nena nunpui avanga lungkhamna lo awm thin chu a tihziaawm thei a ni.

Researcher-te chuan natna leh enkawlna hrang hrang an zirchiang chhunzawm zel a, neuroscience lama hmasawnna leh mihring taksa hriatthiamna a pun chhoh zel avangin nakin lawkah enkawlna hlawhtling zawk a lo chhuak ngei kan beisei thei a ni.

Hetiang dinhmun hian eng harsatna nge a thlen?

Natna rei tak enkawl loh emaw, enkawl that loh emaw hian i nunphung leh nitin hnathawh theihnaah nghawng lian tak a nei thei a ni. Mahni inenkawl te, hnathawh te, leh mi dangte nêna inlaichînna vawn reng chu a harsat phah thei che a ni. Chronic condition a ti na zual thei bawk.

Natna rei tak nena nun hian i risk a tipung bawk:

• Depression leh/or generalized anxiety disorder: Zirna pakhatah chuan natna khirh tak nei zinga 67% vel chuan rilru lam harsatna an nei bawk tih hmuhchhuah a ni.
• Mahni intihhlum: Zirchianna atanga a lan dan chuan natna khirh tak nei zingah dam chhunga mahni intihhlum theihna hi 5% leh 14% inkar a ni. Tin, mi 20% vel chuan mahni intihhlum duhna an nei bawk.Nangmah emaw, i hriat emaw hian heng ngaihtuahna hi i neih chuan Suicide and Crisis Lifeline 988 ah call la, darkar 24 chhungin tanpui thei tur mi a awm a ni.
• Substance hman leh ruihhlo hmansualna.
• Alzheimer natna leh a kaihhnawih dementia natna te.

Natna rei tak emaw, a chunga kan sawi tawh ang chi harsatna emaw i neih chuan damdawi lam thurawn lak a pawimawh hle. I tana enkawlna inzawm dik tak zawn nan hun engemaw chen a la ngai a nih pawhin, beidawng suh.

Engtikah nge ka doctor ka hmuh ang?

Heng thil thlengah hian doctor hmu rawh:

• Enkawl hnua natna a zual chuan a pawi lo, a lo let leh a nih pawhin a pawi lo.
• Pain management treatment hian side effect nuam lo tak a thlen a nih chuan.
• Lungkhamna emaw, lungngaihna emaw i neih chuan.
• Natna avanga zan mut harsatna i neih chuan.
• Natna avanga i hlim tlangpui thil i tih theih loh chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Natna rei tak i neih chuan i doctor hnenah heng zawhnate hi zawh a \angkai thei ang:

• Ka natna chhan chu eng nge ni?
• Hei hi a bo dawn em ni? A nih loh leh, engvangin nge ni lo?
• Eng damdawi nge ka ei theih ang? An side effects te chu engte nge ni?
• Physics therapy nge psychological treatment ka enchhin tur em ni?
• Exercise hi a him em?
• Ka natna rei tak tihziaawm nan eng nge ka tih belh theih ang?
• Natna a zual chuan ka call tur che em ni?

A tawp berah chuan hre reng ang che... (Take-Home Message)

Natna rei tak nena nun hi a harsa thei hle. I nun kawng tinreng a nghawng thei - i hnathawh atanga i khawtlang nun thlengin, mahni in enkawl atanga midang ngaihsakna thlengin. A châng chuan "nun" ai chuan "natna nêna nun" ang maiin a lang thei.

Chronic pain management-ah hian "one size fits all" tih hi a awm lo. I tana tha tur pain management plan zawn nan hun engemaw chen a ngai mai thei. Mahse, i mamawh leh i phu tur enkawlna i hmuh chu a hlu tak zet a ni. I doctor emaw, pain management specialist emaw nen inbia la, i duh ang nun hmang thei tur enkawlna kawng hrang hrang sawipui rawh. Nangmah chauh i ni lo va, tanpuina dil pawh hlau suh.

` Natna rei tak, hun rei tak chhung natna, natna enkawl dan, ruh na, hnungzang na, nerve na, natna thlentu, natna enkawl dan